ATI RN
ATI RN Maternal Newborn Online Practice 2019 B with NGN Questions
Extract:
Client in labor, fetus in right occiput posterior position, dilated to 8 cm, reports back pain
Question 1 of 5
A nurse is caring for a client who is in labor and whose fetus is in the right occiput posterior position. The client is dilated to 8 cm and reports back pain. Which of the following actions should the nurse take?
Correct Answer: Applying sacral counterpressure relieves back pain caused by the fetus's occiput posterior position, which presses against the sacrum during contractions.
Rationale:
Extract:
Client in labor with external fetal monitor, late decelerations observed
Question 2 of 5
A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?
Correct Answer: Late decelerations indicate uteroplacental insufficiency, where reduced blood flow to the fetus during contractions causes a drop in fetal heart rate, requiring intervention.
Rationale:
Extract:
New mother learning to use a bulb syringe
Question 3 of 5
A nurse is teaching a new mother how to use a bulb syringe to suction her newborn's secretions. Which of the following instructions should the nurse include?
Correct Answer: Stopping suctioning when the newborn's cry sounds clear indicates clear airways, ensuring effective and safe use of the bulb syringe.
Rationale:
Extract:
Client who is 3 days postpartum
Question 4 of 5
A nurse is planning discharge for a client who is 3 days postpartum. Which of the following nonpharmacological interventions should the nurse include in the plan of care for lactation suppression?
Correct Answer: Applying cabbage leaves reduces engorgement and suppresses lactation, a proven nonpharmacological method for clients not breastfeeding.
Rationale:
Extract:
Client in active labor, membranes rupture, late decelerations on fetal monitor
Question 5 of 5
A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?
Correct Answer: Turning the client to her side is the first action to relieve vena cava compression, improving uteroplacental perfusion and addressing late decelerations.
Rationale: